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Financial Information

Who Pays for Hospice?

Medicare, Medi-Cal and some private insurances cover the cost of hospice services.

Medicare

Medicare is a health insurance program based on federal and state laws. Under Medicare Part A, all the following services are covered when utilizing the hospice benefit:

Medical Director Services
Skilled Nursing Services
Certified Home Health Aide Services
Social Work Services
Spiritual Counselor Services
Bereavement Ervices
Volunteer Services
Short-Term Inpatient Level Of Care
Short-Term Respite Level Of Care
Durable Medical Equipment
Hospice Related Medical Supplies
Hospice Related Wound Supplies
Hospice Related Medications
Specialty Programs Offered By The Hospice Company

Medi-Cal

Medi-Cal is the Medicaid health care program for the state of California. When utilizing the hospice benefit Medi-Cal typically covers the cost of room and board when a patient's residence is a nursing facility. When a hospice appropriate patient is not yet eligible for Medicare benefits, Medi-Cal may step in as the primary payor source for all the hospice services.

Private Health Insurance

If a hospice appropriate patient has a private insurance as their primary payor source, the hospice company will take the necessary steps to inquire the needed prior authorization on behalf of the patient.